Mrs Jacqueline Rose Evans, DBH, LCSW, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Las Vegas, Nevada. Her current practice location is
9402 W Lake Mead Blvd Ofc 105, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at
(702) 381-3414.
Mrs Jacqueline Rose Evans is licensed to practice in * (Not Available) (license number 7063-C) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639410525.
Healthcare Provider's Profile
| Full Name | Mrs Jacqueline Rose Evans |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 9402 W Lake Mead Blvd Ofc 105, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Jacqueline Rose Evans attended and graduated from in
NPI Data:
- NPI Number: 1639410525
- Provider Enumeration Date: 03/03/2013
- Last Update Date: 06/17/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Jacqueline Rose Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639410525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00302-C (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7063-C (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacqueline Rose Evans is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Jacqueline Rose Evans, DBH, LCSW, LCADC
9402 W Lake Mead Blvd Ofc 105,
Las Vegas, NV 89134-8312
Ph: (702) 381-3414 | Mrs Jacqueline Rose Evans, DBH, LCSW, LCADC
9402 W Lake Mead Blvd Ofc 105,
Las Vegas, NV 89134-8312
Ph: (702) 381-3414 |
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